Profit or Loss From Business: Schedule C (Form 1040) 09
Profit or Loss From Business: Schedule C (Form 1040) 09
1545-0074
(Form 1040)
Department of the Treasury
▶ Go
(Sole Proprietorship)
to www.irs.gov/ScheduleC for instructions and the latest information. 2020
Attachment
Internal Revenue Service (99) ▶ Attach to Form 1040, 1040-SR, 1040-NR, or 1041; partnerships generally must file Form 1065. Sequence No. 09
Name of proprietor Social security number (SSN)
Carrie Schlosser 345-70-5729
A Principal business or profession, including product or service (see instructions) B Enter code from instructions
Nursing & residential carefacilities ▶ 6 2 3 0 0 0
C Business name. If no separate business name, leave blank. D Employer ID number (EIN) (see instr.)
Dubuque Internal Medicine 4 2 0 8 4 8 1 2 3
E Business address (including suite or room no.) ▶ 7407, 120 Bryant St # 106
City, town or post office, state, and ZIP code Dubuque, IA 52003, United States
F Accounting method: (1) ✔ Cash (2) Accrual (3) Other (specify) ▶
G Did you “materially participate” in the operation of this business during 2020? If “No,” see instructions for limit on losses . ✔ Yes No
H If you started or acquired this business during 2020, check here . . . . . . . . . . . . . . . . . ▶
I Did you make any payments in 2020 that would require you to file Form(s) 1099? See instructions . . . . . . . . ✔ Yes No
J If “Yes,” did you or will you file required Form(s) 1099? . . . . . . . . . . . . . . . . . . . . . ✔ Yes No
Part I Income
1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on
Form W-2 and the “Statutory employee” box on that form was checked . . . . . . . . . ▶ 1 25000
2 Returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . 3 25000
4 Cost of goods sold (from line 42) . . . . . . . . . . . . . . . . . . . . . . 4 10600
5 Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . 5 14400
6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) . . . . 6
7 Gross income. Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . ▶ 7 14400
Part II Expenses. Enter expenses for business use of your home only on line 30.
8 Advertising . . . . . 8 4500 18 Office expense (see instructions) 18 300
9 Car and truck expenses (see 19 Pension and profit-sharing plans . 19
instructions) . . . . . 9 20 Rent or lease (see instructions):
10 Commissions and fees . 10 600 a Vehicles, machinery, and equipment 20a
11 Contract labor (see instructions) 11 b Other business property . . . 20b 2500
12 Depletion . . . . . 12 21 Repairs and maintenance . . . 21
13 Depreciation and section 179 22 Supplies (not included in Part III) . 22 150
expense deduction (not
included in Part III) (see 23 Taxes and licenses . . . . . 23
instructions) . . . . . 13 24 Travel and meals:
14 Employee benefit programs a Travel . . . . . . . . . 24a
(other than on line 19) . . 14 b Deductible meals (see
15 Insurance (other than health) 15 instructions) . . . . . . . 24b
16 Interest (see instructions): 25 Utilities . . . . . . . . 25
a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) . 26
b Other . . . . . . 16b 27a Other expenses (from line 48) . . 27a
17 Legal and professional services
17 500 b Reserved for future use . . . 27b
28 Total expenses before expenses for business use of home. Add lines 8 through 27a . . . . . . ▶ 28 8550
29 Tentative profit or (loss). Subtract line 28 from line 7 . . . . . . . . . . . . . . . . . 29 5850
30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829
unless using the simplified method. See instructions.
Simplified method filers only: Enter the total square footage of (a) your home:
and (b) the part of your home used for business: . Use the Simplified
Method Worksheet in the instructions to figure the amount to enter on line 30 . . . . . . . . . 30
}
31 Net profit or (loss). Subtract line 30 from line 29.
• If a profit, enter on both Schedule 1 (Form 1040), line 3, and on Schedule SE, line 2. (If you
checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. 31 5850
• If a loss, you must go to line 32.
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32 If you have a loss, check the box that describes your investment in this activity. See instructions.
• If you checked 32a, enter the loss on both Schedule 1 (Form 1040), line 3, and on Schedule
SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on 32a ✔ All investment is at risk.
Form 1041, line 3. 32b Some investment is not
at risk.
• If you checked 32b, you must attach Form 6198. Your loss may be limited.
For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 11334P Schedule C (Form 1040) 2020
Schedule C (Form 1040) 2020 Page 2
Part III Cost of Goods Sold (see instructions)
33 Method(s) used to
value closing inventory: a ✔ Cost b Lower of cost or market c Other (attach explanation)
34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If “Yes,” attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . . Yes ✔ No
35 Inventory at beginning of year. If different from last year’s closing inventory, attach explanation . . . 35 2300
39 Other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 . . . . . . 42 10600
Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9
and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must
file Form 4562.
43 When did you place your vehicle in service for business purposes? (month/day/year) ▶ / /
44 Of the total number of miles you drove your vehicle during 2020, enter the number of miles you used your vehicle for:
45 Was your vehicle available for personal use during off-duty hours? . . . . . . . . . . . . . . . Yes No
46 Do you (or your spouse) have another vehicle available for personal use?. . . . . . . . . . . . . . Yes No